California falls short on Medi-Cal fraud, state report says
- A report by State Auditor Grant Parks says the Department of Health Care Services is poorly equipped to prevent fraud, waste, and abuse in Medi-Cal, which serves about 14 million Californians.
- The report cites a “history of concern” over provider oversight and classifies Medi-Cal as high-risk for fraud, waste, and abuse.
- The Department of Health Care Services rejects the findings, saying the report omits important context and overlooks system-wide controls.
- The report cites questionable billing by providers and says investigations had not begun for 26,000 of 28,000 providers considered at highest risk.
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13 Articles
California Falls Short on Medi-Cal fraud, State Report Says - Sonoma Valley Sun
by Jocelyn Wiener Is California doing enough to curtail Medi-Cal fraud? The state auditor doesn’t think so. A report released Thursday by Grant Parks, the state auditor, suggests the Department of Health Care Services is ill-equipped to stop pervasive abuse in Medi-Cal, a program that serves about 14 million Californians and pays out $200 billion
California falls short on Medi-Cal fraud, state report says - The Business Journal California auditor flags Medi-Cal fraud oversight concerns
This story was originally published by CalMatters. Sign up for their newsletters. Is California doing enough to curtail Medi-Cal fraud? The state auditor doesn’t think so. A report released Thursday by Grant Parks, the state auditor, suggests the Department of Health Care Services is ill-equipped to stop pervasive abuse in Medi-Cal, a program that serves about 14 million Californians and pays out $200 billion annually. The report described a “hi…
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